| |
931 Walnut Ave Carpinteria CA 93013-2028 | |
(805) 560-1050 | |
(805) 560-1051 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 931 Walnut Ave, Carpinteria, California |
Authorized Official Name and Position | Elizabeth Ann Snyder (ASSISTANT DEPUTY DIRECTOR) |
Authorized Official Contact | 8056815252 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
300 N San Antonio Rd Santa Barbara CA 93110-1316 Ph: (805) 681-5461 | 931 Walnut Ave Carpinteria CA 93013-2028 Ph: (805) 560-1050 |
NPI Number | 1801822291 |
---|---|
Provider Enumeration Date | 06/25/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801822291 | NPI | - | NPPES |
C39503 | Other | CA | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | C39503 (California) | Primary |